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Ethical Leadership Toolkit - National Center for Ethics in Health ...

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<strong>Ethical</strong> <strong>Leadership</strong> <strong>Toolkit</strong> – Introduction to Integrated<strong>Ethics</strong><br />

the Integrated<strong>Ethics</strong> Council, function<strong>in</strong>g <strong>in</strong> the role of an executive director,<br />

adm<strong>in</strong>istrative officer, or co-chair. The program officer should be a skilled manager<br />

and a well-respected member of the staff.<br />

The membership of the council also <strong>in</strong>cludes the <strong>Ethics</strong> Consultation Coord<strong>in</strong>ator<br />

and the Preventive <strong>Ethics</strong> Coord<strong>in</strong>ator, who lead the ethics consultation service<br />

and preventive ethics teams, respectively. Each role requires specific knowledge and<br />

skills.<br />

F<strong>in</strong>ally, the council <strong>in</strong>cludes leaders and senior staff from programs and offices that<br />

encounter ethical concerns, <strong>for</strong> example:<br />

• Chief of Staff<br />

• Chief Fiscal Officer<br />

• Associate Chief of Staff <strong>for</strong> Research<br />

• Associate Chief of Staff <strong>for</strong><br />

Education<br />

• Patient Safety Officer<br />

• Director, Quality Management<br />

• Director, Human Resources<br />

• Compliance & Bus<strong>in</strong>ess<br />

Integrity Officer<br />

• Research Compliance Officer<br />

• In<strong>for</strong>mation Security Officer<br />

• Privacy Officer<br />

• Nurse Manager<br />

In addition to oversee<strong>in</strong>g the ethics consultation service and the preventive ethics<br />

team, the Integrated<strong>Ethics</strong> Council may also oversee stand<strong>in</strong>g subcommittees<br />

(e.g., policy, education, and JCAHO ethics read<strong>in</strong>ess), as well as one or more ad hoc<br />

workgroups convened to address specific topics identified by the council.<br />

At the network level, Integrated<strong>Ethics</strong> is coord<strong>in</strong>ated by the Integrated<strong>Ethics</strong> Po<strong>in</strong>t<br />

of Contact, who reports directly to the network director or the VISN Executive<br />

<strong>Leadership</strong> Council. In addition to serv<strong>in</strong>g as the primary po<strong>in</strong>t of contact with the<br />

<strong>National</strong> <strong>Center</strong> <strong>for</strong> <strong>Ethics</strong> <strong>in</strong> <strong>Health</strong> Care, this <strong>in</strong>dividual facilitates communication<br />

across facility Integrated<strong>Ethics</strong> programs and monitors their progress <strong>in</strong> implement<strong>in</strong>g<br />

Integrated<strong>Ethics</strong>. F<strong>in</strong>ally, a VISN-level Integrated<strong>Ethics</strong> Board helps to address<br />

ethical issues on a network level, especially those that cut across facility boundaries.<br />

Integrated<strong>Ethics</strong> Program Tools<br />

Integrated<strong>Ethics</strong> emphasizes distance learn<strong>in</strong>g and comb<strong>in</strong>es the use of pr<strong>in</strong>t,<br />

video, and electronic media to provide a wide array of resources. These <strong>in</strong>clude<br />

reference materials and video courses relat<strong>in</strong>g to each of the three functions;<br />

operational manuals (toolkits) and adm<strong>in</strong>istrative tools to help program staff organize<br />

and document their activities; assessment tools <strong>for</strong> evaluat<strong>in</strong>g program quality and<br />

effectiveness; communications materials about Integrated<strong>Ethics</strong>; and onl<strong>in</strong>e learn<strong>in</strong>g<br />

modules to build staff knowledge of ethics topics.<br />

A New Paradigm <strong>for</strong> <strong>Ethics</strong> <strong>in</strong> <strong>Health</strong> Care<br />

Integrated<strong>Ethics</strong> builds on VA’s reputation <strong>for</strong> quality and <strong>in</strong>novation <strong>in</strong> health care.<br />

Like VA’s sem<strong>in</strong>al work <strong>in</strong> per<strong>for</strong>mance management, its groundbreak<strong>in</strong>g program<br />

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